Provider First Line Business Practice Location Address:
542 EISENHOWER RD
Provider Second Line Business Practice Location Address:
202C STUDENT HEALTH CENTER
Provider Business Practice Location Address City Name:
UNIVERSITY PARK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-865-4847
Provider Business Practice Location Address Fax Number:
814-863-4463
Provider Enumeration Date:
03/25/2015